This form provides an overview of responsibilities, competencies and CACREP expectations for site supervisors, faculty supervisors and for the practicum/intern student. The form can be used as an adjunct/introduction to a CACREP-required supervision agreement between site supervisors and students and to provide specificity in the role expectations for each party.

This form can be used to document compliance with CACREP Section 3.N-R. regarding supervisor qualifications and agreements.